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GET STARTED TODAY!

It's easy!

Just call or text us your NAME & PHONE NUMBER and we'll call you back and get you set up for an appointment.

Call or text (573) 616-0031 for an appointment or complete the form below.

Let’s get you set up

We’ll guide you through a few simple steps, so your first visit feels focused, thoughtful, and prepared. You can keep things simple—nothing needs to be perfect.

This is simply the first step—we’ll review everything and guide you from here. You don’t need to have everything figured out—just share what you can. If you have questions or would prefer to share this information verbally with Dr. Epple, we are always happy to help.

First name*

Last name*

Email*

Phone*

Birthday (Optional)

Month

Day

Year

Preferred Contact Method (select all applicable)*

Text

Call

Email

Address*

Choose your care path - how would you like to get started?*

Which membership are you interested in?

Comprehensive Primary Care Membership

Virtual Care Membership

I'm not sure yet

That’s completely fine. Share a little about what you’re looking for, and we’ll help you decide whether membership or as-needed care makes the most sense.

Membership is designed for patients who want a more continuous relationship with their physician, predictable monthly care costs, and ongoing support for prevention, wellness goals, and health concerns over time.

I understand membership is not active until my enrollment information, required paperwork, and payment setup have been reviewed and accepted by the practice.

What type of visit are you interested in?*

Annual wellness visit

Specific health concern

Hormones / menopause / thyroid / metabolic health

Weight management

Mental health / mood / stress

Skin / wellness / beauty consult

Other

I understand that non-member visits are billed per visit at the non-member rate and do not include ongoing membership benefits.

Preferred Visit Type

In-Person

Virtual

*Virtual visits are available for patients physically located in Missouri at the time of the visit.

What would you like help with? What's been on your mind lately?*

Your Health, Your Goals - Share as much or as little as you’d like. We’ll go deeper together during your visit. (Optional)

What are your top 1–3 health goals right now? (Optional)

Current medications and supplements (Optional)

Medication allergies (Optional)

Past Medical History:

It is optional to provide your medical conditions at this time.

How did you hear about us?

Friends / Family

Social media

Google search

Other

I understand this form is a request for care, not a medical visit, and does not establish a physician–patient relationship. I agree to provide accurate information and understand my information will be handled according to the practice’s privacy policies. For emergencies, I will call 911 or go to the nearest ER.

I agree to the Privacy Policy and understand that this form is for initial communication only.

Contact Focused Health & Wellness, Inc.

Focused Health & Wellness is a physician-led internal medicine and primary care practice in Jefferson City, MO, offering personalized, direct-pay care for adults.

573-616-0031

thrive@focusedhealthwellness.com

Focused Health and Wellness, Inc.

1705 Christy Dr.

Jefferson City, MO 65101 USA

GET STARTED TODAY!

It's easy!

Just call or text us your NAME & PHONE NUMBER and we'll call you back and get you set up for an appointment.

Call or text (573) 616-0031 for an appointment.

Serving Missouri via Telehealth, located in Jefferson City for In-Person Care

Private Feedback Form

Privacy Policy

Accessibility Statement

© Focused Health and Wellness.

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First name*

Last name

Email*

Phone

Feel free to ask questions!

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